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在无孕妇女中与自发性阴道分娩相关的因素:描述性的系统性审查
Lauren Kearney1, Rachael Nugent2, Jane Maher2
1School of Nursing, Midwifery and Social Work, University of Queensland, Australia; Women's and Newborn Services, Royal Brisbane and Women's Hospital, Metro North Health, Australia.
Women and birth : journal of the Australian College of Midwives
|September 13, 2023
概括
减少自发性阴道分娩 (SVB) 率可以通过解决对分娩的恐惧,促进产前运动和优化母亲定位来改善. 助产士的护理连续性和产前准备是关键因素.
科学领域:
- 孕产妇健康 孕产妇健康
- 产科 产科 产科 产科 产科
- 系统审查是系统的审查.
背景情况:
- 在无孕妇女中自发性阴道分娩 (SVB) 率的国际下降.
- 对影响这一趋势的因素的了解有限,而且对大规模干预措施的了解不足.
- 需要基于证据的策略来支持自发分娩的机会.
研究的目的:
- 进行描述性的系统审查.
- 确定与产期自发性阴道分娩 (SVB) 相关的因素.
- 专注于单独怀孕的无双女性.
主要方法:
- 对定量研究 (所有设计) 的系统审查.
- 纳入标准:无双的妇女,单独的怀孕,头部表现,术语SVB.
- 搜索了九个数据库 (开始至2022年10月);质量评估排除了高风险偏见研究.
主要成果:
- 分析了来自90项研究的数据,揭示了SVB率的显著变化 (13%-99%).
- 与SVB增加相关的可修改因素:解决分娩恐惧,产前运动,产妇定位和助产士领导的护理.
- 降低SVB的因素:怀孕并发症和区域止痛;例行诱导分娩显示出模糊的结果.
结论:
- 产前准备 (运动,教育,恐惧管理) 和助产士的护理连续性可能会增加SVB的发病率.
- 优化分娩进展的产内策略为未来研究提供了有前途的途径.
- 需要跨母亲,胎儿和临床领域的多因素方法来改善不断下降的SVB率.
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